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Jillian Divergilio
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1346984150

Jillian Divergilio is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Jillian Divergilio practices in Waterbury, CT. The NPI Number for Jillian Divergilio is 1346984150 and holds a License No. (Connecticut).

The current practice location address for Jillian Divergilio is 79 Beacon St, Waterbury, CT and can be reached out via phone at 203-574-9000.

Location: 79 Beacon St, Waterbury, CT, 06702-2310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346984150
Provider Name
Jillian Divergilio
Credential
Provider Entity Type
Individual
Gender
Female
Address
79 Beacon St, Waterbury, CT, 06702-2310
Phone Number
203-574-9000
Fax Number
Provider Enumeration Date
04/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
79 Beacon St
City
Waterbury
State
Connecticut
Zip
06704-3424
Phone Number
203-574-9000
Fax Number
person
Provider Business Mailing Address Details
Address
79 Beacon St
City
Waterbury
State
Connecticut
Zip
06704-3424
Phone Number
203-574-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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